NPI age
19 years
Enumerated 2006-06-28
Across 1335 active clinic/center providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 136366501 | |
| 05 (TX) | 136366506 | |
| 05 (TX) | 136366505 | |
| 05 (TX) | 136366507 | |
| 05 (TX) | 136366502 | |
| 05 (TX) | 136366504 |
Multi-provider organization. 5 individual providers on file at this primary address.
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